CHANGE OF MIND LLC
NPI 1053264788
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Q: What is Change Of Mind LLC's NPI number?

The NPI number for Change Of Mind LLC is 1053264788. It was assigned to this organization in the NPPES registry on February 20, 2026.

Q: What is Change Of Mind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 20, 2026

11331 E STARFIRE CIR, MESA, AZ 85212(148) 068-6017 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Change Of Mind Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE OF MIND LLC (NPI 1053264788) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since February 2026. The organization lists Susan Ann Willever, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053264788

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCHANGE OF MIND LLC

Location Address11331 E STARFIRE CIRMesa, AZ 85212-7062

Mailing Address11331 E Starfire CirMesa, AZ 85212-7062 · (148) 068-6017

Phone(148) 068-6017

Organization SubpartNo

Authorized OfficialSusan Ann WilleverManaging Member · (480) 686-0170

Enumeration DateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1053264788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

11331 E STARFIRE CIR, Mesa, AZ 85212

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN WILLEVER N.P.

Nurse Practitioner (Psychiatric/Mental Health)

11331 E STARFIRE CIR
MESA, AZ 85212

Maricopa County (480) 686-0170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Of Mind LLC's NPI number?

The NPI number for Change Of Mind LLC is 1053264788. It was assigned to this organization in the NPPES registry on February 20, 2026.

Where is Change Of Mind LLC located?

Change Of Mind LLC is located at 11331 E Starfire Cir, Mesa, AZ 85212. The listed phone number is (148) 068-6017.

What is Change Of Mind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Change Of Mind LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.